HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/27/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 910 FLOOD ROAD
Property Tax ID #: 3404-803-0006-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 4 TON 16 SEER SYSTEM WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7350.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MONYA 0GLESBY
Name: CURTIS SAMMONS
Address: 910 FLOOD ROAD
Company: CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No. 772-333-8891
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax: 772-335-1968
Phone No 772-335-3232
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY. Not Applicable
Name:
; Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: ,Not Applicable
I Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: _ Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornevbefore commencing wnrk or rar•nrriina vnlir Nntira of rnmr„anrarnanr
i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF— S T L U cl
COUNTY OF 5 r L u C t -e
Sw9rn to (or affirmed) and subscribed before me of
Physical Presence
Swof n to (or affirmed) and subscribed before me of
✓ or Online Notarization
this day
✓ Ph sica) Presence or Online Notarization
of 2020J by
this day of � {- 2020 by
r l S .4 A w1A AS
Clf t$ P i S 5 A #1 *tnt a ns
Name of person making statement.
Name of person making statement.
Personally Known _� OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of N tary Pu c- State of Florida)
Signature of Notary Pub ' - State of FI a )
tp'OR ��eCHRISTINE B. E
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DATE
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CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
LENNOX*CARRIER * RUUD * CHAMPION * TRANE * AIR CONDITIONERS
August 27, 2021
NAME: MONYA OGLESBY
ADDRESS: 910 FLOOD RD FORT PIERCE, FL 34982
PHONE: 772-333-8891
EMAIL: moglesbyl075@yahoo.com
JOB NAME/ADDRESS: 910 FLOOD RD. FORT PIERCE, FL 34982
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1. 4 TON STRAIGHT COOL SYSTEM WITH 9 KW HEAT STRIP. AIR HANDLER ON STAND IN GARAGE
2. CONNECT TO EXISTING REFRIGERANT LINES.
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. CONNECT TO EXISTING DRAIN LINE AND NEW SAFETY FLOAT SWITCH
5. PERMIT (INSPECTION BY COUNTY REQUIRED)
6. CONNECT TO EXISTING DUCT SYSTEM
7. DIGITAL LENNOX M30 THERMOSTAT
8. NEW AIR HANDLER STAND IN GARAGE
9. THREE YEAR LABOR WARRANTY ON LENNOX
10.FIVE YEAR LENNOX PARTS WARRANTY.
11. 10 YEAR MFG PARTS WARRANTY TO ORIGINAL OWNER WHEN REGISTERED IN 30 DAYS. EXCLUDES
HEAT STRIP AND THERMOSTAT.
LENNOX 16 SEER STRAIGHT COOL 2 SPEED SYSTEM. 16ACX-048, CBA38MV-0448
FOR THE SUM OF: $ 7,350.00 (FPL REBATE — $ 150.00) $ 7,200.00 INITIAL
LENNOX FACTORY REBATE SENT BY LENNOX 8-12 WEEKS $ 285.00
10 YEAR LABOR AGREEMENT FOR THE SUM OF: $ 1,100.00 PLUS TAX $ 1,177.00 INITIAL
QUOTE GOOD FOR 30 DAYS. TO BE PAID: AT TIME OF SERVICE.
ACCEPTED ........................... SIGNED.. .
RONNIE LAUCH
CUSTOM AIR SYSTEMS INC.
Construction industries recovery fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. for information about the recovery fund and filing
a claim, contact the Florida construction industry licensing board.
Phone: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786